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Ordered By: (Please Print)

Ship To: (Please Print)

Name:

Name:

Address:

Address:

City,State,Zip:

City,State,Zip: Country:

Country:

paying by: Check: paying by: Money Order

Phone:

FAX:

E-mail Address:

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Page Size (I.e. 5 1/2 by 8 1/2 or 8 1/2 by 11 ect.)

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Number of Pages

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Type of Font Style(s)

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Preferred Point Size(s)

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Typesetting

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(1) Customer Proofreading (2) TypeMagick Proofreading

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(1) Customer Editing (2) TypeMagick Editing

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Number of Columns

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Number of Graphics

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Number of Scans

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1-4 Number of Colors (for color output)

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(1) Hard Copy or (2) Disc

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If Hard Copy: (1) Output-300 dpi or (2) 600 dpi

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